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Organization

MLK RX GROUP LLC

Active
Other names
Caremore Rx Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMAD KOURANI (MANAGER)
(973) 277-2237
Entity
Organization

Contact information

Practice address
2260 CROTONA AVE, BRONX, NY 10457-1939
(917) 801-2325
(917) 801-2326
Mailing address
2260 CROTONA AVE, BRONX, NY 10457-1939
(917) 801-2325
(917) 801-2326

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
032468
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03868155
NY
01
2143812
PK
Enumeration date
01/08/2014
Last updated
10/30/2014
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